Individual provider · Type 1 NPI

Rita Bolous McCowan, NP

Pediatric Nurse Practitioner · Oakland, CA

NPI number 1821621269 Active

Practice location

747 52nd St
Oakland, CA 94609-1809

Call (510) 428-3000 Map

Mailing address

7532 Altura Pl
Oakland, CA 94605-3108

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	95009963 (CA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1821621269

Rita Bolous McCowan, NP's National Provider Identifier is 1821621269, issued on Feb 13, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Oakland, CA. The record was last updated on Feb 13, 2020.